Department of Urban and Environmental Policy and Planning, Tufts University, Medford, MA.
Ann Glob Health. 2016 Sep-Oct;82(5):858-865.e6. doi: 10.1016/j.aogh.2016.05.005.
Piece rate pay remains a common form of compensation in developing-world industries. While the piece rate may boost productivity, it has been shown to have unintended consequences for occupational safety and health, including increased accident and injury risk.
This paper explores the relationship between worker pay and physical and emotional health, and questions the modern day business case for piece rate pay in the developing world.
The relationship between piece rate and self-reported measures of physical and emotional health is estimated using a large survey of garment workers in 109 Vietnamese factories between 2010 and 2014. A random effects logit model controls for factory and year, predicting worker health as a function of pay type, demographics, and factory characteristics.
Workers paid by the piece report worse physical and emotional health than workers paid by the hour (OR = 1.38-1.81). Wage incentives provide the most consistently significant evidence of all demographic and factory-level variables, including the factory's own performance on occupational safety and health compliance measures.
These results highlight the importance of how workers are paid to understanding the variability in worker health outcomes. More research is needed to better understand the business case supporting the continued use of piece rate pay in the developing world.
计件工资仍然是发展中国家产业中常见的薪酬形式。虽然计件工资可能会提高生产力，但它已经对职业安全和健康产生了意想不到的后果，包括增加事故和受伤风险。
本文探讨了工人薪酬与身心健康之间的关系，并对发展中国家现代计件薪酬的商业案例提出了质疑。
利用 2010 年至 2014 年间对越南 109 家工厂的 109 名制衣工人进行的一项大型调查，估计了计件工资与自我报告的身体和情绪健康之间的关系。随机效应逻辑模型控制了工厂和年份，根据薪酬类型、人口统计数据和工厂特征预测工人的健康状况。
按件计酬的工人报告的身体和情绪健康状况比按小时计酬的工人差（OR=1.38-1.81）。工资激励提供了所有人口统计和工厂层面变量中最一致的显著证据，包括工厂自身在职业安全和健康合规措施方面的表现。
这些结果强调了理解工人健康结果差异的重要性，需要更多的研究来更好地理解支持在发展中国家继续使用计件工资的商业案例。
